Comparative Evaluation of Urodynamic Study in Women With and Without Uterovaginal Prolapse

Dr. Ayindrila Das, Dr. Usha Rani, Dr. Paridhi Garg, Dr. Soumit Dey

Abstract: Introduction: Pelvic organ prolapse (POP) is the descent of vaginal walls, uterus, or vaginal apex and is classified using the POP-Q system. POP often affects urinary function, causing incontinence or obstruction. Urodynamic study (UDS) provides objective insight into bladder and urethral function which are essential in the assessment and diagnosis of patients presenting with lower urinary tract dysfunction. This study compares the UDS in women with and without prolapse. Aim: To study and compare the prevalence of urodynamic changes in women with and without uterovaginal prolapse. Objectives: 1) To evaluate urodynamic study profile in women with uterovaginal prolapse. 2) To correlate degree of prolapse (POP-Q Classification) with urinary incontinence. 3) To compare urodynamic study profile in women with and without uterovaginal prolapse. Methodology: Case control study conducted at Rama Medical College Hospital and Research Centre from April 2023 to September 2024, recruiting 40 women with 2?/3? uterovaginal prolapse and 40 women without uterovaginal prolapse of any age and parity seeking care in this hospital. Data collected by semi- structured interviews, pre-designed questionnaire, physical examination, laboratory tests, pelvic ultrasound and urodynamic study was analysed in SPSS software version 29. A p value <0.05 was considered significant. Results: In this study, pelvic organ prolapse patients (mean age 53.9)?mostly aged 51?60, had higher parity (70% ?3), and more advanced POP Q stages: Stage?III in 43.75%. They experienced urinary hesitancy (27.5%), incomplete bladder evacuation (25%), lower peak voiding flow (~18.9?ml/s), reduced bladder compliance (~30.8?ml/cm H?O), elevated post void residual (~91.8?ml), lower bladder capacity and altered detrusor pressures?contrasting sharply with younger, lower-parity, healthier controls. Conclusion: Prolapse patients had higher parity, lower compliance, reduced peak flow rate, and increased hesitancy (27.5%) and incomplete evacuation (25%). Significant differences in detrusor pressure, urge volumes, and incontinence rates highlight the need for further research.

Keywords: Uterine Prolapse, Urodynamic study, Uroflowmetry, Cystometry

How to Cite?: Dr. Ayindrila Das, Dr. Usha Rani, Dr. Paridhi Garg, Dr. Soumit Dey, "Comparative Evaluation of Urodynamic Study in Women With and Without Uterovaginal Prolapse", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 1410-1417, https://www.ijsr.net/getabstract.php?paperid=SR25722133216, DOI: https://dx.doi.org/10.21275/SR25722133216